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Merocel nasal packing and MeroGel nasal dressing

Posted By: Italia on 2008-01-30
In Reply to: help with op note - doing a nasal endoscopy - shopaholic

Subject: Merocel nasal packing and MeroGel nasal dressing

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Miragel and Merocel nasal packing. Please see context.
Subject: Miragel and Merocel nasal packing. Please see context.

DICTATED: Some "Miragel" packing was placed in the ethmoid areas bilaterally and a small piece of Merocel was placed to hold the "Miragel" in place. He is obvsiouly distinguishing between 2 types of nasal packing material. Can't find the "Miragel". Any clues?
Probably Merocel nasal packing as in my Surgical Word Book. nm
Subject: Probably Merocel nasal packing as in my Surgical Word Book. nm


MeroGel®. Used in nasal/sinus surgery also. sm
Subject: MeroGel®. Used in nasal/sinus surgery also. sm

Medtronic ENT - MeroGel® Injectable



MeroGel® Injectable Bioresorbable Nasal Dressing & Sinus Stent physically ... A thick, viscous hydrogel, MeroGel Injectable is composed of cross-linked ...

nasal packing
Subject: nasal packing

Bingo. That's it. Can't see the forest for the trees on that spelling. Those words are almost twins. Many thanks.
Nasopore (nasal dressing).
Subject: Nasopore (nasal dressing).


Merocel and MeroGel? nm
Subject: Merocel and MeroGel? nm


one more...Nasal ICS
Subject: one more...Nasal ICS

Does anyone know if this is a correct term? Treat with nasal ICS...
Nasal ala?
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Hi, does anyone know if there is such a thing as a nasal ala?? Thats what it sounds like to me but haven't found much to support it. Thanks for the help!
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Subject: nasal carisa

s/l no nasal "carisa"  kariza, carisa????  no clue, can't find anything that even s/l this.  child with congenital deformities. 


It's nasal septoplasty. SM
Subject: It's nasal septoplasty. SM

That site linked by the poster below, has a lot of spelling errors on the page, so I would not trust it. 
I went with nasal septoplasty! Thanks!
Subject: I went with nasal septoplasty! Thanks!

/
Sen nasal spray?
Subject: Sen nasal spray?

ASSESSMENT


Sinusitis.


 


PLAN 


Amoxicillin 500 mg p.o. t.i.d. x14 days.  (s/l Sen) nasal spray p.r.n.  Over-the-counter decongestants p.r.n. 


What is Sen nasal spray?


Thanks for any help.


nasal spur
Subject: nasal spur

Can't get a good sound, but kind of like "vamerian spur" - help!!
nasal spray
Subject: nasal spray

Anafrin
May be (nasal) tampon. nm
Subject: May be (nasal) tampon. nm

nm
Nasal exam
Subject: Nasal exam

The patient's nose is being examined and on the right side he has very prominent network of vessels in the anterior s/l kisselbox" area.  Any suggestions?


Airal nasal gel?
Subject: Airal nasal gel?

I have another question regarding the same chart.  the patient is advised to use s/l "airal" nasal gel twice daily.
nasal endoscopy
Subject: nasal endoscopy

nm
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Subject: nasal incisioin

s/l scopelanger incision - for rhinoplasty. Thanks in advance.
nasal s/l pleating? sm
Subject: nasal s/l pleating? sm

orbicularis hypertrophy and nasal s/l pleating? and bulging.  TIA!


nasal surgery
Subject: nasal surgery

x
nasal spray
Subject: nasal spray

s/l aprotrochial nasal spray?


Did you google nasal ala?
Subject: Did you google nasal ala?

If so, you will find it does indeed exist !
Yes, nasal ala. If you google this, it is there.
Subject: Yes, nasal ala. If you google this, it is there.

Also, in my surgical word book.
s/l nasal pulling
Subject: s/l nasal pulling

On exam he has slight minimal retractions, no nasal s/l pulling or pooling.
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Subject: nasal surgery help

Bilateral S/L SASH and advancement flaps were elevated . . .
WAG but nasal CPAP? nm
Subject: WAG but nasal CPAP? nm


nasal irrigation maybe
Subject: nasal irrigation maybe


Nasal surgery s/l *synichia* Thank you n/m
Subject: Nasal surgery s/l *synichia* Thank you n/m


There is Ayr nasal spray (saline).
Subject: There is Ayr nasal spray (saline).

nm
Airel Nasal Spray?
Subject: Airel Nasal Spray?

Patient presents today with sinus infection.


Nasonex nasal spray 1 spray each nostril twice a day during the day, otherwise, she will be using _____ nasal spray 1 spray each nostril about every 1-2 hours. 


Blank s/l Airel maybe Aero?


Thanks!!!


s/l Affil nasal spray
Subject: s/l Affil nasal spray

At this time, I am going to have her stop the s/l Affil nasal spray, and she will use Nasal Saline.


 


 TIA


 


 


Nasarel nasal spray?
Subject: Nasarel nasal spray?


bet that is it. it is antiinflammatory nasal spray
Subject: bet that is it. it is antiinflammatory nasal spray

would have to be that.
Yep there is Ocean nasal spray
Subject: Yep there is Ocean nasal spray


sl Veramist nasal spray
Subject: sl Veramist nasal spray

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Aquaplast - its a nasal splint
Subject: Aquaplast - its a nasal splint


help with op note - doing a nasal endoscopy
Subject: help with op note - doing a nasal endoscopy

with biopsies - finishing up now - talking about hemostasis


dictator says: hemostasis with Rapid Rhino hemostatic gel and *marisel* packing of the left nares. Can't find marisel?


I found nasal flaring s/m
Subject: I found nasal flaring s/m

I googled wheezing, rales, retractions and found several references to flaring - I would suggest you Google and look at what pops up. I cannot paste what I found but it does sound correct... its pediatric right?
Makes sense to look at nasal see msg
Subject: Makes sense to look at nasal see msg

She is cyanotic and has poor aeration on auscultation. She has crackles, wheezing and a prolonged expiratory phase. Marked retractions and nasal flaring are ...


This is what I found on Google...


There is a nasal spray - Astelin
Subject: There is a nasal spray - Astelin


nasal...insipated mucus ?
Subject: nasal...insipated mucus ?

maybe i'm brain dead this morning, maybe he makes it up? 
Nasal surgery: s/l 'stuffer pad'
Subject: Nasal surgery: s/l 'stuffer pad'

sentence: oral cavity and stomach was suctioned of its contents. [...] pad was placed.
Patanase nasal spray NM
Subject: Patanase nasal spray NM

x
Pantonase nasal spray?? (sm)
Subject: Pantonase nasal spray?? (sm)

that's what it sounds like.  I can't find it anywhere.  TIA
fluocinonide nasal spray?
Subject: fluocinonide nasal spray?

Does anyone know if there is a nasal spray by this name? I know there is a fluocinonide cream but I was not famiilar with it as a nasal spray. 
Patanase nasal spray?
Subject: Patanase nasal spray?


nasal mucosa was quite (s/l) boggy?
Subject: nasal mucosa was quite (s/l) boggy?


s/l "Astenol" nasal spray...nm
Subject: s/l "Astenol" nasal spray...nm

x
Naris nasal spray? sm
Subject: Naris nasal spray? sm

Doctor says....... Naris nasal spray 2 sprays each nostril daily.  Cannot find this spray.
nasal spray s/l Asapro
Subject: nasal spray s/l Asapro

Given for URI symptoms